NCCC Webinar Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0137 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NCCC Webinar Feedback Survey Form and Instruction
1 NCCC Webinar Feedback Survey WIG Team 5 Webinar Feedback Survey.docx www.nationalservice.gov Form and Instruction
WIG Team 5 Webinar Feedback Survey Submission Form.docx NCCC Webinar Feedback Submission Form IC Document

Information Collection (IC) Details

IC Title:	NCCC Webinar Feedback Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NCCC Webinar Feedback Survey	WIG Team 5 Webinar Feedback Survey.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCCC Webinar Feedback Submission Form	WIG Team 5 Webinar Feedback Survey Submission Form.docx	12/05/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.